Q9967 Medicaid Rate by State

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml

30 state Medicaid programs publish a fee-for-service rate for Q9967 (low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml), ranging from $0.12 in Idaho to $0.99 in Alaska.

Every state, kept current

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This page shows one representative rate per state for Q9967. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

30

Median % of Medicare

--

Rate range

$0.12 - $0.99

Q9967 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alaska$0.99----2026
Alabama$0.15----2026
Arizona$0.16----2026
California$0.17----2026
Colorado$0.12----2026
Connecticut$0.15----2026
District of Columbia$0.15--Not required2026
Georgia$0.12----2026
Hawaii$0.30----2025
Iowa$0.32----2024
Idaho$0.12--Not required2025
Indiana$0.52----2025
Louisiana$0.14----2026
Maine$0.16----2026
Michigan$0.16----2026
Minnesota$0.15----2026
Mississippi$0.15----2026
Montana$0.15----2026
North Dakota$0.16--Not required2026
Nebraska$0.15----2026
New Hampshire$0.87--Not required2026
New Jersey$0.99--Not required2026
New Mexico$0.14----2025
Oklahoma$0.15----2026
South Carolina$0.16----2026
Virginia$0.15----2026
Vermont$0.14----2026
Washington$0.16----2026
Wisconsin$0.16----2026
Wyoming$0.16----2026

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related state-specific services codes

All 22 codes from Q9950 to Q9999 or every state-specific services code by number.

Frequently asked questions

How much does Medicaid pay for Q9967?

30 state Medicaid programs publish a fee-for-service rate for Q9967 (low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml), ranging from $0.12 in Idaho to $0.99 in Alaska. The full table on this page lists every publishing state's current rate.

Which state pays the most for Q9967?

Alaska publishes the highest Medicaid rate for Q9967 at $0.99. Idaho publishes the lowest at $0.12.

Does Q9967 require prior authorization under Medicaid?

No publishing state flags Q9967 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.